Tag Archives: nightmares

The Frist 36 Hours

Most of this story is true, I think.  Some of it was hallucinated.  A portion of it had to be told to me because I had no recollection of what was going on during part of it.  Some of it was dreamt and some of it was just there when I would close my eyes, like a video that only I could see playing on my eyelids, all while being wide awake.  None of the first 36 hours or so after I had open-heart surgery was pretty.  For a bit, I didn’t know what was real or what was being made up in my drug-induced imagination.  And I have no idea what all medications I was on at any given time during or following surgery, but I think the combination of all those drugs made my comprehension of current events questionable and my memory of those events a little whacky.  But this is how I think it all happened.

The first thing I remember after surgery was waking up with some kind of endotracheal tube in my mouth running down my throat.  I don’t really remember the tube being removed, but I do remember the pain from the tube being removed.  It hurt my throat.  I also remember darkness and calling out for help.  I remember being scared, but I couldn’t remember why I was there or how I had gotten to where I was.  At that point, so I was told later, I became uncooperative and combative with the nursing staff.  I don’t remember that, but I believe it because I can remember how scared I was.  I do remember accusing the nurse of purposely trying to let me die because she wasn’t helping me.  That’s what I thought anyway.  But of course, she was helping me, I just couldn’t see it.  I remember asking and begging for them to let me see my wife.  My wife was by my side that whole time, holding my hand.  But I couldn’t recognize her and, according to her, I thought she was trying to kill me as well.  All of this was in the first few hours of being moved from surgery to the Cardiovascular Intensive Care Unit (CVICU).

The next little bit of time would not get any better.  I found a new level of pain as the different medicines wore off following surgery.  This is a pain scale that replaces the old 0-10 scale that a doctor would use to ask you to rate your pain.  There is not a cap on this newfound scale, like with the number ten on the old one.  This new pain scale will go as high as you can handle it, and then some.  I honestly can not explain the intensity of the pain, especially when an unexpected cough or sneeze would blindside me.  This pain made it impossible to be comfortable.  It was difficult to sleep, to sit up, or to have a conversation.  Breathing hurt, swallowing hurt, and most other movements brought pain in ways I never before imagined.  I’ve always had a high tolerance for pain, but this was rough.  Thankfully, this new level of previously unexperienced pain only lasted a few days. 

Even with all the pain, the tricks my mind were playing were even worse.  Sleep would only last a minute or two at a time.  The dreams were so disturbing I would wake up trying to yell.  I did tell my wife about two of the dreams, the least disturbing of them, but I won’t be discussing any of that content here.  It’s a little scary to me that my mind came up with some of the images in those dreams.  And just as bad were the images while awake, when I would close my eyes for a short rest.  The colors and distorted scenes that were waiting for me with each prolonged blink is what I imagine Hell looks like.  I’ve served in two wars and have a few images that are forever etched in the dark, hidden parts of my mind.  Nothing I saw at war, not even my worst memory of war, can compare to the complete void of humanity that my mind was manufacturing for me to see.  I have no idea how my mind could possibly create such chaos that felt so real and imminent.  The dreams while asleep and the images my mind created while awake were bad.  Now add hallucinations to the tricks my mind was playing.  I have memories of and was also told by my wife later that I kept asking who was walking around me, touching me on my arm.  I kept thinking I was seeing someone walking around in my room.  When I would ask, my wife would point out that we were the only ones in the room, there was no one else there.  I don’t remember what their faces looked like, but I promise I saw people in my room that apparently weren’t real.  And I felt these imaginary people touch my arm multiple times.  I have no rational explanation for anything in this paragraph. 

My Worst War Memory

Somewhere around the second day after surgery, we had to address a minor complication called postoperative ileus.  That means my stomach didn’t “wake up” after surgery.  There was no movement down there.  Because of that, the doctor ordered an NG tube (Nasogastric tube).  Up the nose, down to the stomach.  It was used to drain the contents of my stomach.  This complication cost me two extra days in the CVICU.  I don’t remember the tube being put in.  I remember telling the doctor later that if they pulled it out, they better be sure of it because I would fight anyone that tried to put it back in.  I guess I remembered it being put in at the time, while in the hospital, but I have no memory of it now.  But I remember how miserable I was.  I still had chest tubes from surgery.  I had oxygen going in my nostrils.  I had more IV’s than I could count.  And the icing on the cake of misery was having that tube in my nose.  I was truly hating life for a brief moment.

I think the first 36 hours after surgery were the most miserable, most scared I’ve been in my life.  In my research leading up to having open heart surgery, the thing that worried me the most were the stories of recovery, not the actual surgery.  Recovery is a long process.  There are countless do’s and don’ts.  Restrictions on lifting, restrictions on movements.  Restrictions on food and medicines.  I never imagined that the initial recovery would include the mind tricks I suffered through.  Thank God that went away after a few days.  The memories of those twisted thoughts and images still choke me up, but at least they stopped.  Boredom is the hardest part now.  Days seem to drag on.  I want to do things, but I know I can’t if I want my recovery to go smoothly.  My wife has been amazing.  She’s doing all my chores and hers.  She’s taking care of me even when I’m difficult and unhappy about being unable to do things for myself.  I’m irritable.  I’m a little depressed.  And I haven’t had a cigarette in over two weeks.  My wife is a saint for putting up with me.  She is my reason for wanting to get better and to do better. 

I feel like the hardest part is behind me.  I’m still confused by the first 36 hours.  I’m actually still a little disturbed by the first 36 hours.  I’m sure it was a combination of shock, pain, and medications.  But that still doesn’t make it any less troubling in my mind.  Thank you for suffering through this post with me today.  I believe most of it to be true even if I don’t remember it all.  Good day, God bless.

Dave

Dreaming on the Couch

I fell asleep on the couch with the windows open. The rain briefly woke me, but I rolled over, snuggled into the cushion, and propped my leg over the back of the couch. I tried to go back to the dream I was having about a girl that never met her grandmother. It was in black and white. The grandmother died during the war. The Greatest Generation was not able to save her and was forced to let her go. I don’t know the whole story, but my mind had been filling in the blanks as I slept. Before the dream was interrupted, the grandmother was visiting with the girl, telling her stories of when the girl’s dad was a small boy. Only the girl could see her grandmother. The dad played along with the girl’s imagination when she would tell him the stories from grandma but got chills when hearing some of the events of his childhood that the girl could not possible know. Then, the rain stormed in.

I was unable to return to that dream. Instead, I found myself in a mystery upon revisiting my slumber. I am unsure if I was the mystery or if I was trying to solve a mystery. The clues to this mystery were in a large, yellow house from a dream I used to have as a child. A house I’m not familiar with during consciousness but knew very well in recurring dreams from many years ago. There were hidden rooms, stained glass, and a fireplace on every floor. All the stained-glass windows were framed in yellow creating an ominous feel to the house as the sunlight shined in. I could never make it to the top floor no matter how many flights of stairs I climbed. The house apparently went up without end. I’ve never seen that house from the outside, I would have no idea how to get there, except to go to sleep.

My dreams are vivid, almost always in color, and feel very real. They aren’t even about war that much anymore, but the intensity and adrenaline feel the same, sometimes waking me in a fit of yelling or punching. Often times I can feel my heart pounding when I wake after one of those dreams. Sometimes the people I served with at war are in my dreams, just doing normal stuff, but the dreams are still intense to the point of waking up fearful or startled.

When I fall asleep, I see tiny flashes of light inside my eyelids. I think that’s a side effect of the medication. The medications work well for me overall, despite being jolted awake occasionally from seeing flashes when I’m half asleep. The original PTSD medication the psychiatrist put me on a few years ago made it all worse. But we found the right one, despite the slight side effects. Some nights I start dreaming during that time between consciousness and sleep, while I’m still aware of my surroundings. For some reason, that can cause me to wake up freaking out. That usually makes for a long, restless night. It becomes difficult sleep. I think my body or mind, or both, are trying to prevent me from sleep, for my own protection. Am I trying to protect me from myself? Interesting.

Sometimes I’ll spend a whole day trying to decipher a dream from the night before, wanting to figure out if it has some meaning to me. Most of them don’t. But some of the dreams become reality. I would tell you about them, but you wouldn’t believe me. Hell, if I wasn’t the one having the dream and then seeing it unfold in real life, I wouldn’t believe it either. But I’m not even surprised anymore when it happens. I like daydreaming. I can control those, most of the time. Unfortunately, none of those come true. Or fortunately, who knows?

I envy those who don’t remember their dreams or are not affected by them. But if I didn’t remember mine, I might miss something. Because they aren’t all bad. I have good dreams, too. I guess the occasional good dream is worth suffering through all the weird, bad, vivid, crazy dreams. Just like life. Sometimes there’s more crazy restlessness and worry than good, easy, peaceful times, so enjoy the good when it comes. Sleep well, my friends. See you in my dreams. Good day, God bless.

Dave

Check these out, too, for more on my writing on dreams:

The Illusive Dreams

Abstract